- AdventHealth (Maitland, FL)
- …Integrity Manager, and in collaboration with physicians, nursing and HIM coders, the Second Level Reviewer I strategically facilitates and obtains ... mortality, and complexity of care of the patient. The Second Level Reviewer I educates...(ROM), and quality._ + _Completes accurate and timely record review to ensure the integrity of documentation compliance._ +… more
- St. George Tanaq Corporation (Tallahassee, FL)
- …I)** to support a contract with our federal client. The Dispute Resolution Reviewer I will perform complex (journey- level ) work and provide dissatisfied ... Dispute Resolution Reviewer I Fully Remote*GA Job Type Full-time Description...allowed. The DDR I will also provide an independent second - level determination based on the documentation, facts,… more
- St. George Tanaq Corporation (Tallahassee, FL)
- …why an appeal/dispute should be allowed. It also provides an independent second level determination/dispute resolution based on the documentation, facts, laws, ... Dispute Resolution Reviewer III Fully Remote*GA Job Type Full-time Description...with our federal client. The DRR III performs complex (senior- level ) work. This role provides dissatisfied patients/ beneficiaries and/or… more
- City National Bank (Tallahassee, FL)
- … for resolution. This includes mentoring and training of Underwriters I and II including second level reviews. What you will do * Reviews the loan package ... workflow and imaging tools * Mentor and train Underwriters I and II * 2nd level review of Underwriters I and IIs' work * Performs other duties as assigned by… more
- City National Bank (Tallahassee, FL)
- … for resolution. This includes mentoring and training of Underwriters I and II including second level reviews. What you will do * Reviews the loan package ... workflow and imaging tools * Mentor and train Underwriters I and II * 2nd level review of Underwriters I and IIs' work * Performs other duties as assigned by… more
- Molina Healthcare (Tampa, FL)
- …in the development of enterprise-wide teaching on psychiatric diagnoses and treatment * Provides second level BH clinical reviews, BH peer reviews and appeals * ... all LOBs * Responds to BH-related RFP sections and review BH portions of state contracts * Assist the...$315,733 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level… more
- Sedgwick (Tallahassee, FL)
- …with audit requirements, service contract requirements, and quality standards. + Acts as second level of appeal for client and claimant issues regarding claim ... individual examiner. + Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims… more
- MUFG (Tampa, FL)
- …to; new deals, refinancing, amendments, acquisition financings, and re-pricings. + Perform a second level review of legal loan documentation against required ... approvals, as per bank policy, as well as perform review and verification of facility booking in the MUFG...statements are intended to describe the general nature and level of work being performed. They are not intended… more
- CVS Health (Tallahassee, FL)
- …focus primarily on review appeal cases for denied medical services. This includes First Level Appeals / Second Level Appeals / Expedited Appeals / Appeal ... Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a business and clinical… more
- University of Miami (Miami, FL)
- …Research Associate 2 to work in Miami, FL. The Senior Research Associate 2 ( second level research position, track one) supports research activities under the ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of… more
- University of Miami (Miami, FL)
- …in the Public Health Sciences Department. SUMMARY The Senior Research Associate 2 ( second level research position, track one) supports research activities under ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of… more
- Bristol Myers Squibb (Tampa, FL)
- …system to research and provide case resolution. + Compile and present relevant data for second - level appeals. + Review and make timely updates to employee ... reference materials and Knowledge Articles. + Prepare and submit and/or oversee vendor preparation of required government filings. + Prepare financial reports as needed. Create and manage POs. Process, audit and reconcile invoicing for carriers, vendors, etc.… more
- Amazon (Temple Terrace, FL)
- …system performance issues and provide analysis across all operations - Provide second - level escalation support to site technicians and automation engineers, both ... support to restore equipment operation. - Facilitate Failure Analysis and Incident Review processes to drive continuous improvement - Perform and analyze building… more
- Capco, a Wipro Company (Orlando, FL)
- …flags for money laundering, terrorist financing, fraud, and sanctions violations, and escalate for second level review + Research, draft, and file Suspicious ... Activity Report (SAR) to enforcement networks, and document decisions not to file a SAR - exercising independent judgment and discretion while handling sensitive cases + Execute account maintenance updates and process client lifecycle related reports + Ensure… more
- MUFG (Tampa, FL)
- …third party management. + Perform ongoing monitoring, trend analysis and engagement level review and challenge against program requirements and communicate ... issues/observations identified and request FLOD review and actions to remediate as necessary + Ensure...statements are intended to describe the general nature and level of work being performed. They are not intended… more
- TD Bank (Fort Lauderdale, FL)
- …Bank Fair Banking Compliance team is seeking a skilled comparative file review professional to facilitate completion of regularly scheduled monitoring activities for ... UDAAP issues. You will leverage your prior comparative file review experience and credit acumen to; + Identify and...fair lending comparative file reviews + Experience operating in second line of defense (ie, oversight and challenge). +… more
- MUFG (Tampa, FL)
- …Investment Banking and Operations Business Coverage Team, responsible for executing the second line of defense oversight and challenge program across all business ... + Analyze FLoD owned issues for common root causes, review issues per the Issue Management policies and standards...for negative trends or escalation items + ORM SME reviewer for Product & Services risk assessments 2) Perform… more
- RTX Corporation (St. Petersburg, FL)
- …Owner, Scrum Master) + Lead and support requirements and algorithm development, system level designs, and system level models using Model Based Systems ... Value Management efforts such as Basis of Estimate (BoE) Author/ Reviewer , Proposal support and formal cost and schedule estimating...and elder care services. + Teladoc Medical Experts, second opinion program. + And more! **Learn… more
- Sarasota County Government (Sarasota, FL)
- …Sarasota County's award-winning beaches? Lido Beach is currently recruiting for an entry- level Attendant; whether you're setting up for events, cleaning up the ... of five (5) years. About Everything Else Pay: $16.87/hour + $0.50/hour second shift differential. Our interview process could include phone interview(s), Microsoft… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... supply levels in unit and supply rooms. + Adheres to University and unit- level policies and procedures and safeguards University assets. This list of duties and… more